Langtímaárangur viðgerða vegna hrörnunartengds míturlokuleka á Íslandi

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Steinþórsson, Árni SteinnUniversity of Iceland (author)

Langtímaárangur viðgerða vegna hrörnunartengds míturlokuleka á Íslandi

Article/chapterIcelandic2021

Publisher, publication year, extent ...

2021-06-03
Laeknabladid/The Icelandic Medical Journal,2021
8 s.

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LIBRIS-ID:oai:lup.lub.lu.se:46a61a3e-c951-410c-940e-0a84ec611d40
https://lup.lub.lu.se/record/46a61a3e-c951-410c-940e-0a84ec611d40URI
https://doi.org/10.17992/lbl.2021.06.639DOI

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Language:Icelandic
Summary in:English

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Subject category:art swepub-publicationtype
Subject category:ref swepub-contenttype

Varying forms of title

Long term outcome of valve repair for degenerative mitral valve disease in Iceland

Notes

OBJECTIVES: Degenerative mitral valve disease is the most common indication for mitral valve repair in the Western world. The aim of this study was to study the long term outcome of mitral valve repair for degenerative mitral valve regurgitation in Iceland. MATERIAL AND METHODS: A retrospective study of 101 consecutive mitral valve repair patients (average age 57.7 years, 80.2% male) operated in Iceland 2004-2018 for degenerative mitral valve regurgitation. Long term survival and MACCE (major adverse cardiac and cerebrovascular event) free survival was estimated using the Kaplan-Meier method and compared to age and gender matched reference population. Median follow-up time was 83 months. RESULTS: On average there were 6,7 (range 1-14) mitral valve repairs performed annually with 99% of the patients receiving ring annuloplasty. A total of 82 (82,2%) underwent resection of the posterior leaflet and 64.4% recieved Gore-TexR-chordae. Major early complications occured in 28.7% of cases, most commonly perioperative myocardial infarction (11.9%) and reoperation for bleeding (8.9%). Mortality within 30 days was 2%, the median duration of intensive care unit stay was one day and the median hospital length of stay was 8 days. One patient needed reoperation later for recurrent mitral regurgitation. Five and ten year MACCEfree survival was 91.1% (95%-CI: 85.3-97.2) and 81.0 (95%-CI: 71.6-91.6), respectively. Five year survival was 93.5% (95-CI: 88.6-98.7) and 10 year survival 85.3% (95%-CI: 76.6-94.9), which was not different from an age and gender matched reference population (p=0.135, log-rank test). CONCLUSION: Outcomes of mitral valve repair due to degenerative mitral regurgitation is good in Iceland and results are comparable to larger institutions overseas. Long term prognosis is generally good although early postoperative complications often occur.

Subject headings and genre

MEDICIN OCH HÄLSOVETENSKAP Klinisk medicin Kardiologi hsv//swe
MEDICAL AND HEALTH SCIENCES Clinical Medicine Cardiac and Cardiovascular Systems hsv//eng
Complications
Degenerative mitral valve disease
Mitral valve plasticity
Mitral valve repair
Outcome
Survival

Added entries (persons, corporate bodies, meetings, titles ...)

Johnsen, ÁrniNational University Hospital of Iceland (author)
Sigurðsson, Martin IngiNational University Hospital of Iceland,University of Iceland (author)
Ragnarsson, SigurðurLund University,Lunds universitet,Thoraxkirurgi,Sektion II,Institutionen för kliniska vetenskaper, Lund,Medicinska fakulteten,Thoracic Surgery,Section II,Department of Clinical Sciences, Lund,Faculty of Medicine,Skåne University Hospital(Swepub:lu)med-sdr (author)
Guðbjartsson, TómasNational University Hospital of Iceland,University of Iceland (author)
University of IcelandNational University Hospital of Iceland (creator_code:org_t)

Related titles

In:Laeknabladid: Laeknabladid/The Icelandic Medical Journal107:6, s. 279-2860023-7213
In:Læknablaðið: Laeknabladid/The Icelandic Medical Journal107:6, s. 279-2861670-4959

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MEDICAL AND HEALTH SCIENCES: MEDICAL AND HEAL ...; and Clinical Medicin ...; and Cardiac and Card ...

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